| NPI | 1740754381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN282577) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60917284) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2020-12-08 |